HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M 11ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number: _
-- Building Permit Application
Planning and Development Services
Building and Code RegulatiFn Division
2300 Virginia Avenue, Fort'pierce FL 34982
Phone: (772) 462-1553 IFax: (772) 462-1578 Commercial Residential X _
PERMIT APPLICATION
FOR: Mechanical
Address:
Legal Description:
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I
Property Tax IDN:
Lot No.
Site Plan Nam
I Block No,
Project Name``�a
Setbacks Front—,-- Bac—k: Right Side; Left Side;
LIKE FOR LIKE A/CnCI.IANGEOLIT
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trona wor<to e e Orme un ert spermit—c ec<a appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
_
Electric Plumbing Sprinklers Generator El Roof Roof pitch
Total Sq, Ft of Construction: _ S�Ft. of First Floor:
1 UU Utilities: ! Septic Building Height:
Cost of Construction: $ • _JSewer
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Name Name: CHRIS LANGEL
Address l lam_ Company: SEACOAST A/C
City: i_ State: Address: 3108 INDUSTRIAL 31st STREET
Zip Code; City; FT PIERCE State: FL
�L)ax:
Phone No.J — LJ' C—l�^ Zip Code: 34946 Fax: 772-466-3053
E-Mail: _ Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( If different E-Mail: INFO@SEACOASTAIR.COM
from the Owner listed abov(-) State or County License: CMC036421
If value of construction is $2 ,00 or more, a RECORDED Notice of Commencement is required.
N�O�MATION
SUPPLEN�EN7777Y:
��
� '�DESIGNER�EN
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
MORTGAGE COMPANY:
_ Not ApplicableName:Name:Address:Address:City:_
COMPLETE
City:
State:Zip:
Zip: Phone:
INITIALS
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlictwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeenncciin work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF STWCIE
The �Yeynginstrum� a acknowled fore me The oinginstr ntw^asj�cknowled eforeme
this 1 Say of 1� , 20 by this day of _ _�_, 20 by
CHRIS LANGEL 1' CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging)
of Notary P
Personally Known x
Type of Identification
Commission No. FE941411
Revised 07/15/2014
OR Produced Identification
My ff3i0N k FF 9414il
EX . December 6, 2019
aondsd Thm Warr Public Undewrilem
Notary
Personally Known x
Type of Identification
Commission No.
of Florida j
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS